Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · CPT 75630 · MAYAGUEZ, PR

75630 — X-ray Aorta Leg Arteries

What each payer pays BELLA VISTA HOSPITAL (CCN 400014) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$1,191 All-payer median here
$1,750 Cash / self-pay here
15 payer/plan-name variants
← This hospital National rates for 75630 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
MEDICARE MUCHO MAS(MMM) $2,191 83.9% 1
PLAN SALUD MENONITA $1,500 25.9% 1
ASOCIACION MAESTROS (PROSSAM) $1,365 14.6% 1
FIRST MEDICAL VITAL $1,323 11.1% 1
TRIPLE S $1,300 9.2% 1
INTERNATIONAL MEDICAL CARD $1,280 7.5% 1
PLAN SALUD MENONITA VITAL $1,251 5.0% 1
TRIPLE S VITAL $1,191 0.0% 1
SERVICIOS DE SALUD BELLA VISTA $1,100 -7.6% 1
MCS $1,080 -9.3% 1
MAPFRE LIFE INSURANCE LIFE INSURANCE $465 -61.0% 1
VA / CHAMPVA $72 -93.9% 1
TRICARE OVERSEAS $72 -93.9% 1
TRIPLE S ADVANTAGE $72 -93.9% 1
UnitedHealthcare $72 -93.9% 1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.